Initial experience with routine less invasive implantation of HeartMate II left ventricular assist device without median sternotomy | Zendy

A. Anyanwu | Zendy; Shinobu Itagaki | Zendy; Sean Pinney | Zendy; David Adams | Zendy

Open Access

Initial experience with routine less invasive implantation of HeartMate II left ventricular assist device without median sternotomy

Author(s) -

A. Anyanwu,

Shinobu Itagaki,

Sean Pinney,

David Adams

Publication year - 2014

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezu044

Subject(s) - medicine , surgery , perioperative , median sternotomy , ventricular assist device , blood transfusion , ascending aorta , cardiology , heart failure , aorta

Standard implantation of HeartMate II (HMII) left ventricular assist device requires an extended median sternotomy; this incision, while generally well tolerated, may add morbidity in critically ill debilitated patients. We recently adopted a sternum sparing technique for routine HMII implants using a left subcostal incision to create a pocket and access the left ventricular apex, and a right minithoracotomy to access the ascending aorta.

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